2017 BENEFIT PLANS PDF Print E-mail


Effective January 1, 2017 Target pharmacies, which are now CVS pharmacies, will no longer be participating in the Smart90 Pharmacy program. If you are currently getting 90 day prescriptions filled at a Target pharmacy you will receive a letter from Express Scripts with options on transferring your prescriptions to a participating Smart90 pharmacy.

Aultman Hospital in Medical Mutual Network September 15, 2016

Affinity Medical Center & Northern Ohio emergency Physicians


Open Enrollment for the 2017 High Point Summit County Employee Benefit Program will be held November 7th through November 18th.

Open Enrollment is your annual opportunity to review your benefit coverage options. During Open Enrollment employees can enroll for a new benefit, add dependents, drop dependents or drop a benefit.

Please review the 2017 Benefit Program Guide for an overview of the benefit options. The 2017 Employee Benefit Program Guide will provide employees with an overview of the benefits available, updates to the Vitality Program, and instructions on completing the On-line Open Enrollment via BenXpress. Information regarding premiums can be obtained from your benefit coordinator for your department/agency.

Attend an Open Enrollment Benefit meeting on one of the dates list in the Open Enrollment Flyer. If you cannot attend a meeting and want to learn more about Open Enrollment or Vitality, scroll to the bottom of the page for the self-guided presentations that will be available on November 7th.

Between November 7th and November 18th log into BenXpress to make your elections for 2017. Be sure to complete the entire enrollment process, SAVE your changes, and print a confirmation sheet. Click here for the BenXpress Online Enrollment Instruction Guide.

Your elections are effective January 1, 2017 and remain in effect for the entire year unless you have a Qualifying Event.

Open Enrollment Presentation


Summit County offers three health plans that are designed to meet your individual needs. Visit the “My Health Plan” section of the Medical Mutual website to set up a personal secure password and order a new ID card, check the status of your claims or print a claim form, reprint an Explanation of Benefits (EOB), view a member handbook or E-mail customer service. Through this site you can also locate a SuperMed Plus hospital or physicians close to where you live and access your prescription information.

Summary of Benefits and Coverage Guide

Benefit Plan Comparison
Summary of Benefits and Coverage-Advantage Plan

Summary of Benefits and Coverage-Plus Plan
Summary of Benefits and Coverage-Minimum Value Plan

MMO Claim Form
MMO Provider Search

Domestic Partner Affidavit
Domestic Partner Frequently Asked Questions (FAQ)

Learn more about continuing coverage through COBRA - contact Greg Hartman, (330) 643-2621, ghartman@summitoh.net


Summit County's prescription provider is Express Scripts (administered by Medical Mutual of Ohio). Your ID card includes both medical and prescription plan information. Once you receive your ID card you can access your prescription information via the Medical Mutual website to locate an in-network pharmacy, review prescription history, view claims, price medications, refill mail orders, check mail order status and update mail order payment information.

Maintenance RX List
Mail Order Form

Preferred RX & Specialty Medication List and Coverage Management Information
Zero Copay Program
SMART 90 Pharmacy Ohio Directory


Summit County offers you and your eligible dependents a dental program that gives you the choice of two plan options. The PPO plan offers out-of-network benefits and the Value Plan includes increased in-network benefits. Both plans offer Rollover Options. See link below or click on Lincoln Dental to register and obtain additional plan information.

Lincoln Dental-PPO PLAN
With the PPO Plan, you can visit any dentist; but you pay less out-of-pocket when you choose a in-network PPO dentist.

Lincoln Dental-VALUE PLAN
With the Value Plan, you can visit any dentist; but you pay less out-of-pocket when you choose a in-network PPO dentist. Out-of-network benefits are limited to Lincoln's fee schedule and subject to balance billing.

Lincoln Dental Claim Form
Lincoln Dental PPO Benefit Summary
Lincoln Dental Value Plan Benefit Summary

Lincoln Dental Provider Search


Summit County provides you and your eligible dependents a Vision Care Program through Davis Vision. Click on Davis Vision to access network providers.

Davis Vision Benefits Summary
Davis Vision ID Card
Davis Vision Contact Lens Collection (Premium)
Davis Vision Out-of-Network Claim Form


The County of Summit provides Life Insurance and Accidental Death and Dismemberment coverage for full time employees. Additional Voluntary Life and AD&D may be purchased in amounts from $10,000 to $300,000 in increments of $10,000 at the employees own expense through payroll deductions.

Lincoln Financial Life Voluntary AD&D Summary
Lincoln Financial Voluntary Life Summary
Evidence of Insurability Form
Lincoln Financial LifeKeys
Lincoln Financial Travel Connect

You can update your beneficiary during open enrollment, or anytime during the year using the beneficiary forms posted below.  Completed forms should be submitted to Greg Hartman, Insurance Department, Room 103, Ohio Building or email ghartman@summitoh.net

County Provided Life Beneficiary Form
Voluntary Life Beneficiary Form


Summit County offers employees a Flexible Spending Account (FSA) program. These accounts set aside funds, on a pre-tax basis, through payroll deduction, to pay eligible out-of-pocket medical, dental, and dependent care costs. Participating employees are issued a debit card to make payments for eligible items or employees can file paper claims.

The Flexible Spending Account program is administered by BASIC (Benefit Administrative Services International Corporation).

BASIC Reimbursement Claim Form
BASIC Plan Summary
Health Reimbursement Account Summary Plan Description
2017 FSA/HRA Qualified Expenses (Samples)
FSA Registration Instructions

For more information on Flexible Spending Accounts Call Customer Service: 1 (888) 472-0777 (8:00 a.m. - 5:00 p.m. EST) or log on to hrbenefitsdirect.com/Basic


Medical/Prescription Plans

Dental Plans

  • Dental Certificate PPO
  • Dental Certificate Value Plan

Vision Plans

  • Vision Certificate

Life Insurance

  • The County of Summit provides Life Insurance and Accidental Death and Dismemberment coverage for certain full time employees.  If you would like a copy of this policy, please email you request to ghartman@summitoh.net .





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